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Immediate dental implant placement and loading treatment protocol has been investigated with the promising clinical results. However, the use of short implant in this treatment option has not been performed. The purpose of the study was to compare the clinical outcomes and survival rates of immediately-loaded short implants and conventional length dental implants (Pw Plus dental implant system, Thailand) in replacing mandibular molar teeth.Materials and methodsThe clinical study was approved by the Human Experimentation Committee. Fifty implants in 46 patients were included in the study. Twenty five short dental implants (6 mm.) and 25 conventional dental implants (10 mm.) were randomly placed as single tooth replacements in the edentulous molar areas of the mandibles. Provisional, CAD-CAM, ceramic block (Shofu HC) crowns were cemented to the abutments of the implants, and immediately loaded. The clinical parameters, such as insertion torque (IT), resonance frequency analysis (RFA), marginal bone level changes, and complications, were recorded and statistically analysed.ResultsTwo short implants and two conventional implants were excluded from the study due to insufficient insertion torque (less than 35 Ncm). Two short implants disintegrated, and one conventional implant failed. The accumulate survival rate of short implants was 91.30%, compared to 95.65% for conventional implants. However, there was no significant difference between the two implant types (P (Fisheru2019s exact) = 1.00). Only minor complications were found (three provisional crown fractures with short implants and two with conventional implants).The differences in IT among the two implant types were not significant (P =.264). There was no significant difference in ISQ value for short or conventional implants between baseline (short: 73.86 u00b1 2.38 mm, conventional: 75.05 u00b1 3.26mm, P=.088) and four months after loading (short: 72.37 u00b1 1.35 mm, conventional: 72.89 u00b1 1.87 mm, P=.165). The mean change in marginal bone level four months post-loading was 0.24 u00b1 0.29 mm for short implants and 0.26 u00b1 0.29 mm for conventional implants ; there was no statistical difference between the two implant types.ConclusionsWithin the limitations of this study, the findings seem to confirm that the immediate loading of short implants is a viable option, comparable to conventional length implants in terms of implant survival, marginal bone loss and ISQ value.
This atlas, in which a wealth of illustrations are supported by clear explanatory text, offers an up-to-date and comprehensive overview of the immediate restoration of teeth and immediate functional loading when using different implant systems and surfaces in patients with single tooth loss or partial or complete edentulism. It provides guidance on all aspects of technique, including procedures for impression and measurement taking, and describes the surgical and prosthetic protocols applicable in various settings. The coverage encompasses the more advanced techniques used for immediate loading of implants placed in conjunction with grafting/augmentation procedures or in fresh extraction sockets, as well as immediate implant loading for mandibular and maxillary full-arch rehabilitation. This atlas will help dental students and practitioners to gain a sound understanding of immediate loading techniques, including their indications and limitations, and to apply them optimally in their practice. The atlas also shows and explains how to integrate a full digital workflow from the intraoral scanner to solve complex cases in a simple way.
This comprehensive guide to short implants will take the reader through their research and development, explain the clinical indications, evaluate the outcomes achieved with various implants, and explore restorative and laboratory considerations. Short implants have steadily gained greater market share in the last decade as practitioners sought alternatives to traditional length implants in order to avoid grafting procedures. Current manufacturers offer a variety of implant lengths and widths, allowing surgeons and restorative dentists the ability to select the best implant for each clinical circumstance. Cutting edge information is provided on the research and clinical results achieved utilizing a range of implants, specifically those developed by Nobel Biocare, Straumann, Jack Hahn, and Bicon. Readers will also find an extensive description of the role of ultra-short implants involving reconstruction in both cleft patients and cancer patients who have lost portions of their mandible and/or maxilla. This book is a must-have for those interested in learning how the use of short and ultra-short implants offers both surgeons and restorative dentists an opportunity to stand out from those that use only the traditional length implants.
Patient-centered outcomes: the patient's viewpoint / M. Del Fabbro and T. Testori -- Management of the implant patient: state of the art / J. Ganeles, F. Bianchi, and F. Mandelli -- Medicolegal implications and clinical guidelines in immediate loading / M.L. Scarpelli, L. Fumagalli, and M. Del Fabbro -- The Role of computer-assisted surgery / T. Testori, L. Fumagalli, and M. Del Fabbro -- Guidelines for the collection and organization of scientific data / M. Del Fabbro and T. Testori.
The Journal of Prosthodontics has been the official publication of the American College of Prosthodontics for more than 20 years. In excess of 1,000 peer-reviewed articles on a wide variety of subjects are now in print, representing a treasure chest of history and valuable information on a myriad of topics of interest to the specialty of prosthodontics. Journal of Prosthodontics on Dental Implants is a “best of” compilation of the journal’s articles from a number of years, focusing exclusively on the multiple applications of osseointegrated implants: for the management of the partially edentulous patient, management of the completely edentulous patient, and management of patients with maxillofacial defects. Sections also relate to in-vitro studies and general considerations to round out the readership selections. Whether you’re a subscriber who’s looking for implant articles in one convenient collection or a clinician with a focus on implant dentistry looking to improve your knowledge base, Journal of Prosthodontics on Dental Implants is a must-have for your personal library.
Minimally Invasive Dental Implant Surgery presents a new clinical text and atlas focused on cutting edge and rapidly developing, minimally invasive treatment modalities and their applications to implant dentistry. Centered on progress in imaging, instrumentation, biomaterials and techniques, this book discusses both the “how to” as well as the “why” behind the concept of minimally invasive applications in implant surgery. Drawing together key specialists for each topic, the book provides readers with guidance for a broad spectrum of procedures, and coalesces information on the available technologies into one useful resource. Minimally Invasive Dental Implant Surgery will be a useful new guide to implant specialists and restorative dentists seeking to refine their clinical expertise and minimize risk for their patients.
Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients. With the ever-increasing number of dentists involved in implant dentistry, it is essential to ensure that their treatment methods follow the highest standard. The ITI Treatment Guide series, a compendium of evidence-based implant-therapy techniques in daily practice, is written by renowned clinicians and provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes. The second volume of the ITI Treatment Guide is devoted to the restoration of partially dentate patients. Central to this volume of the ITI Treatment Guide are loading protocols available to the clinician and the patient and how they relate to various treatment indications, including both single and multiple missing teeth in the posterior and anterior regions of the mouth. Among potential topics for upcoming volumes are implant placement in extraction sockets, loading protocols in edentulous patients, implant therapy in the esthetic zone in extended edentulous spaces, and many more.
This book examines the latest technologies and developments in oral and maxillofacial surgery. It presents information in an easy-to-read format and meticulously details each surgical technique. Thorough and accurate chapters comprehensively present procedures and treatments step-by-step procedures objectively. Each chapter follows a consistent format of which includes the scientific documentation of the procedure through clinical studies, objective benefits for the patient, detailed explanations of the procedure, levels of treatment complexity according to the SAC (simple -advanced complex) classification, and cost-effectiveness of the procedure for the patient and clinician. Extensive images, figures, and tables supplement select chapters to aid in visual learning. Extensive and unique, Innovative Perspectives in Oral and Maxillofacial Surgery is a vital tool for all dental specialists ranging from undergraduate students to established oral maxillofacial surgeons.